Organization
NEW GENESIS RESIDENTIAL SERVICES, INC.
Active
Other names
Lincoln Childrens Home South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNOLD STEVEN ENGLAND (CEO)
(704) 864-3600
Entity
Organization
Contact information
Practice address
161 POLICARP ST, LINCOLNTON, NC 28092-7051
(704) 735-0737
Mailing address
PO BOX 2211, GASTONIA, NC 28053-2211
(704) 864-3600
(704) 864-6142
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL055111
NC
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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